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APPLICANT'S PERSONAL DETAILS

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Date Of Birth
Mobile
Email
Gender
Marital Status
Category

MAILING ADDRESS

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State
City
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FATHER'S DETAILS

Father Name
Occupation
Office Address
Tel/Mobile No.

MOTHER'S DETAILS

Mother's Name
Occupation
Office Address
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ACADEMIC QUALIFICATIONS

Secondary (X)
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Sr. Secondary (XII)
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Graduation Degree
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Post-Graduation Degree
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
Professional Degree
Institution
Board/University
Year of Completion
Aggregate Marks
Stream Name
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ENTRANCE EXAM DETAILS (IF ANY)

Examination
Date
Reg./Roll No.
Composite Score
Percentile
Examination
Date
Reg./Roll No.
Composite Score
Percentile

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